545 77th St WINSPECTI(fN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERN1lT SUBTYPE:
.
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
INSPECTION .. . DA
.. ?, ,
?
?
I .? . .
I Rfl4AH K`, ft Is 3'f1:Ipt I 1, i•rI i.11IiI-1 11 ! ?]V A141 t•'I11Mhi1Mi, iitt 1: 1 f+ 1ittl At 4J+1fi!'
?
?
?
S-t a-Oa ?? ?' ?
PertnN No. Permit Holder Dete Telephone N
ELECTRIC
.
PLUMBING
HVAC
inspectlon Date Inap. Comments
FOOTINGS
FOUNO
FRAMING
!
ROOFING
ROUGH
PLUM8ING
PLBG
91R TEST
ROUGN
HEATING
GAS SVC
TEST
INSUL '
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
7 ?LOcldt
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
,
BSMT FINAL
DECK FTG ?
%"?,
CITY Of )EAGAN Permit Na ' Date: 7
3830 RNot Knob Road Meter No: -3,?7 0 p ? giZe; aCC
P.O. Box 21199 Reader No: /? f 9 36 q-3 Date:
Eagan, MN 55121
Owner. :iur,.taci Car:.;anv
SiteAddress: '45 :lest 77th F -^;t I "' ? ; :•'
Plumber. 'i`i-_Co C'•,:-dWarrAM3n??",: ?
Conn. Chg: 525, n ,t ?{jllt(eS 1
c:?? .
ACCt. D@p: Df2 01WIT
PermitFee: .'3ELEPK " 04MRf LJM EtC
?
Surcharge: -'?? •' 4ie t??y with the CFty oi Eagan
Tr. Plant_ ??•'9rdlnan es.
Meter.
Misc.: g
WATER SERVICE PERMIT
C(TY•OF EAGAN Permit No: Date: 3830 Pllqt Knob Road g/ p No; Date: `
P.O. Box 21199
Eagan, MN 55121
SiteAddress: 545 "''e9t 77th 3treeC
Plumber._ Pipz Co Contract :: ?
MWCC: ?'•0 t':! Zoning• '
City Chg: 1? 5:??? No. of Units; ?
Acct. Dep:
Permit Fee: ? agres to comply with the Gty of Eagan
Surcharge: Ordinancea.
Misc.; gy
SEWER SERVICE PERMIT
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date ,19
Site Address
Lot Block Sec/Sub.
Parcel No.
x Name
W
z Address
o -•
City Phone
¢ Name
.o
? ` Address
?°C- City Phone
rQ
VW Name
W ?y
r
Address
lx W City Phone
1 hereby acknowledge that I have read this application and slate that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building
OFFIC E USE ONLY
On Site Sewage Occupancy
MWCC System ' Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Storles
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC -
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
r- Permlt No. Permit Holder Deft TeIsphona it
Plumbing
,, ?..
?-
H.V.AC.
Electric
Softener
Inspectlon Dsts Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg. -? ? , 2-2-1 A- A,
Rough Htg.
Isul.
Fireplace % eU
Final Htg.
Final Plbg.
Bldg. Final •
Cert OcC.
Temp. LP
Deck Ftg. - ?t
Deck Ffnal
Well
Pr. Disp.
r
? ??-??-
0-
9-962
9
,
Req es Da?= Fire No. Roug -1 nspection Requiretl Ins ction Other Than Rough-In
Y I inspecmr when reatly) ?Reatly Now [-] Will Nolity Inspector
Yes ? No Oate Reatly
IAcensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlOre?ss (Streel. Box or Roule No)
7 T ? 7- Ciry ?.(
Semion o. Township Name or No. Range No. County?/j
[/iT C? ?
Occupanl(Pql Ph
?
Power Supplier Atltlress
Elecinpl Comracbr (Company e) ?
? Q
.? iZc ? Gontracror s License No. /
2
CC??o ,S
MAng Adtlre?(Convacror or Owner MaINn staliation) ?• 6 ?
?3 26 ?
Amh ' namrC Co orlOwner Making Installatlon)
o-??C?= Phone Number
-l
MINNESOTA STATE BOARD OF ELECTPICITY
Griggs-Mldwey BIOg. - Hoom &128 THIS INSPECTION REOUEST WILL NOT
0E ACCEPTED BV THE STATE BOAPU
1?831 O,?vers?? ?vne?
5t. Paul, MN SS10C
?
UNLESS OPER INSPECTION GEE IS
nscn
? REQUEST FOR ELECTRICAL INSPECTION Ee-ooo
o
i-os
?? ? ? See ImcYans for compleling this form an back of yellow cnpy.
"
" ///
???
Beloi,• Work Covered by This Request
X
Ne Add Rep. Type of Building ?ApFli2riees Wired Equipment Wiretl
ome Range Temporary Service
Duplex ter Heater Eleciric Heating
Apt. Building J er
; Load Management
CommAndustrial Funnace Other (Specify)
H Farm Conditioner
Otlier (specify) CoNra or's Remarks-
,"'3Ee ,A ,r
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps O to 100 Amps
Transformers Above 200 A Above 100 -Amps
SignS Inspeaors Use Only: ? TOTAL
IrrigationBooms /lAS
S ecial Ins ection ?r 7??
AlarmlCommunication THIS INSTALL 10 E ORDERED DISCONNECTED IF NOT
Other Fee COMP D W T IN 18 MON7 S.
I, the ElecMcal Inspector, hereby
ti
fh
t th
b
i Rough-in ? Date ' /
G
cer
ty
a
ove
e a
nspection has
been made. F??aL?
V Dale l
OFFlCE USE ONLY .
This requesl void 18 monlhs from 'Magim
. •? CITY OF EAGAN N° 14 4 5 7
_
3830 Pilot Knob Road, P.O. Box 21 •198, Eagan, MN 55121
PH ONE: 454-8100
B
IL
--] CJ'1 S?)
U
DING PERMIT
Receipt#
To be used for SF DWG/GAR Est. Vatue $143 , 000 Date DECEMBER 1 87
Site Address 545 WEST 77TH ST OFFICE USE ONLY
Lot 3 Block 2 Sec/Sub. BliR OAK HILLS On Site SewagB - OcCUpanCy R3
Rl
MWCCSystem X Zoning
ParcelNo. Vn
On Site Well _ (ActuapConst
a Name RARSTAD COMPANIES Ciry Water X (Allowable) Vn
; Address 1900 SILVER LAKE RD PRVRequired - #ofStoriea 72
? City NEW BRIGHTOI?hone 636-3751 BoosterPump _ Length
Depth 44
, o Name SAME S.F. Totai
?a Address FootprintS.F. _
? City Phone pPpROVALS FEES
W Engr./Assess. Permit $ 632.50
W Name 50
71
?i
i- Address Plenner
- Surcharge .
aw CityPhone Council PlanReview 316.25
Bidg. OH. SAC, Ciry 100.00
I hereby acknowletlge that I have read,this application an s[ate that the Variance SAC, MWCC 525.00
information is correct antl agree c mply with all lica6le State of
Minnesota StaWtes and City of O?inc . ! Water Conn.
Water Meter -525.00
67.00
Signature of Parmittee ---------- Road Unit 30$.00
A Building Permit is issued to: Ht1RSTAD COMPANIES Treatment Pt 180.00
on the express contlition Ihat all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry f Eagan Ordinances. parks
Building OHicial ' ?e4..,?J _
TOTAL ,722.25
? 2
Y ?
1987 BIIILDING PERNIIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLiIDE 2 SETS OF PLANS, 3 CERTIFZCATFS OF SQRVEY, 1 SfiT OF ENERGY CALCOL9TIONS
NOTE: 9DDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOSiNER MIIST DESIGHATS WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PSRMIT IS ISSOED.
M[ILTIPLE DWELLINGS - RFSIDENTI9L RENTAL iJNITS FOR S9LE OID6IYS
INCLODE 2 SETS OF PLANS, CERTIFICATE OF S[1R11EY - CHECB iIITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: /y3,000- Date:
Site Address ?
Lot 3 Block ? Z
Parcel/Sub Le (7A-FS /-//4,t5
Owner N79?LS-iA-0 Go.
Address 19bb
City/Zip Code /U/?&?Pj.Lr6MoN SSII2
Phone
Contractor
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone li
l3-S
pwaA Xii 2 51987,
On Site Sewage_, Occupancy 9-3
MWCC System pe Zoning R -I
On Site Well Type of Const
City Water (Aetual) V-N
(Allowable) y-t.J
li of Stories
Length ?
Depth
S.F. Total
Footprint S.F.
APPROVALS FEFS
Assessments Permit 632.56
Water/Sewer Surcharge ,
Police Plan Review
Fire SAC, City 100,00
Engr SAC, MWCC szs, t?0
Planner „ Water Conn 575.00
Council Water Meter 0,00
Bldg Off Road Unit D,Oa
APC Treatment Pl I SQ,OD
Variance Parks
Copies
TOTAL
V4t-uATloN
. , ' `? ?• " a, ?.
3ox3y= IOZc> '
8xi5= /20
90o x /2 = /0800
E)sM r.
yz X zg= 11 72
Isxs3= I zd
IIx2 ? 22
1314 X Iy= 1839?
Is-r FwoR
BsNrr - 131y
I%z X
1328 x4y= 58Lt32
2 ND FLao2
yZ X29 = IZie?
Z X ?u ? z0
)23o ,cuu= 544']
1N21oo-
..;
r .
U+IN L•:li
,:XT--,-Lon ENvr:r;,i'r: nvi:rnr,r: "u„ c4)r4ru...,.rior IJLorv -V?-81155
SITE AP.DitrSS
_
CONT?2AC'f0R _
7,Pc{??T/?ii' _CiZ7 . ---
--- ll.4'i'F ??--
Dctie:min vorhini; square foot:iite of' crieh.
1. Total exFosed vall e,-en sR _ ft. x 0.11 _ `?j 07.2
2. Total roof/ceil.ina a=e, sq. ft_ x 8,0`?6
"'otal c>:},osed ua! 1¢rea nbove Cloc?r
a. Totsl
_? vindou ._rea . ,
- .:._ ? ? . . . . . . . - ? ! `7 "72
b. Tc?tal dcor a:ee ..................
C.
iotal .................
sliding ;;iass door a_ea ....
.....
d.
Total ...........
fireplece wall erec .............
..
A.
Total .
.
t.'11- .:3.-Il1? ??
•••.••.•
' g a:ea (aver?e 10, . .............
i. Total r.et 4e11 arce noove floor .
B. Total ri-i jo:st e:ec ................. ...........
TOta; .N;osed inl:ndation kroa = 1,?
n. Tetal fe?-,nJet:on windou• area ..................
i. Tctal ae; , oLmdacior, ,_rea ; bovc 'r.radr . ... . . . . . . . . . .
3.
lo
C:
o; each uall ;e;;meni.
--
--6-7--- ? .,u„ 0 1 ¢4,, _
z. 2z3, ? _ X .,u., 77
X u„
p. c?-3 _
Z?7
?t.. '
7-o
h. ,?-
?'
. ,.L," 2-
??-
3 .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
?r =?ET e s-=,e as,
o; S3C 50o6(c)2. or lcs_
:.h::n i Le:::i .,'
'
3'ai: n v e t e s t
-7
17.,o2
r,
. •
.
? .,,. t
., :iI r?.;..?.?.
.?.,,
.
: ?L
j T0?8_ Sk•,?_'i;f:'. ..... .. .............. .. . .'
iC. ':Ot "_l . . . . . . . . . .
Dc?c- =i:.e vnlue for c.-ich r?>c, l; cci 1 in??. sc}pucnC.
? . ......... ............... ......... lULQl
• ??
totsl o° 514 ;s ',he sn-ne L-s, or less tnar, 92, you hace met tY:e intent of
sBc 6oe6(c)i .
To uti.'_ize t he tota1 _^..vel ooe syste_ method, the values e?t,bli_hed Ly the
5= o:° =:e_5 #3 and 44 sh5 11 nat be g:'eate:. th<<n the sun o° :ters Nl and k2.
]. + 2. _
+ 4. _
0
, _ ..,
l-7BXF?.? -
19--0 /? 8. ? =
.`":, 2L =
• ? ? ;? _ ?, \ --? ??0
,.-
? ?.
?t'1
,.
;
'i
? ' - :? ?
CERTIFICATE OF SURVEY
FOK: 'HARSTAD COMPANIES
?
5cale: 1° = 30'
o Denotes Iron tAon.
gg?fa l29.00' 5.74°47'S6"E. 8?8XS
N Dninage md utility easexnt l(1
?- 3 ?
toI L ?
o z5?
? - to r
0
co 5?% ??
o A
?
o -? _- -71ao- - -?7sto a75 40 _l. o ? ?
r - 31?3
N u
.ti ? zlc.9S LL. - J ? 3• `/a j o O ?
?„
? m I ? you SP ? fr75 „S :o5 A
? ; ' 3o I v
N??
. C\ /o.G7_
m ..?
q O a D ? I'
o. N
I?
10
i35.00 '74°47'S6"E. L7 l,c9
?\1 I LEGAL DESCRIPTION
0 7 7 T" S TIQ E E T W.
x Denotes Proposed.Elevation ' Lot 3 , Block 2
874p. 0 Top of foundation Sanitary Sewer ¢aiG11 q. ?a BOR OAK HILLS
gag,i7 Top of Basement Floor !Invert Eley• Dakota County, Minnesota
r?jr 11 We hereby certify that this is a true and correct representation of a survey of
the boundaries of the abovedeuribed land and of the tocation of all 6uildings,
MERILA & ASSOCIATES, INC. '' a^y, thereoR and all visible encroachmenK if any, from or on said land.
ENGINEERS,SURVEYORS,SITEVLANNEHS AswrveyadtF? 30Ty ? dayof-ND//F./9iA?6R 9?.
7216 Boons Arenue Norfh • Sulls E 63
Brooklyn Park, Minneaota 55428
TsIepAomt (612) 533-7595
B-7ISS-E.oD
b6 No. 1"O gook - Pape
Minn. Rp. No. -4 2-5
r
a .")
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
&ZD5764 ,2--`
BUILDING
027622
05/24/96
SITE ADDRESS:
P.I.N.: 10-15500-030-02
545 77TH 5T W
10T: 3 BLOCK: 2
BUR QAK HILLS
DESCRIPTION:
¢+ui1d37i4.Permit Type
A8uilding G,,ork Type
V?^b.
/"'"Census Code ?.,
r , $
?-
??i?J'?
BASEMENT FINISH
AL7ERATION
434 ALT. RESIDENTIAL
? ?k t ?li Jld1( ( v i?.)t
?af ° ;lG3 S ? ti Cx i y
}
REMARKS:
A SEPARATE PERMIT IS REQUIRED FQR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
GUNIHAGIUH:
OWNER: - Applicent -
SPELL JAMES
545 77TH ST W
EAGAN MN 55121
(612)666-9347
C _ I
I Mer•ehy acknowled,ge zhat T h;av?e read this-application and stat'e that tha '
information is correct and agree to c:omply with all applicable State of Mn,.
St'atutes arrd City isf Eagan Or`dinances'.
APPLICANT/PERMITEE NATURE ISSUED . IG A7URE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-46T5
Remodel/Reoair RecuirementQ
?1-M.IK)o
WM? -2(
? 3 registered aite surveys ? 2 copies of plan
? 2 cropias ot plans (indude beam 8 window sizas; poured fid. design; elc.) ? 2 site surveys (exterior addkions & decks)
? 1 energy calculations ? 1 energy calcuiations for healed additions
? J copies oi tree preservelion plan H lot platled aRer 711/93
requfred: _Yes _ No , -eI, ??-D
C CJ
DATE: CONSTRUCTION COST: .?
DESCRIPTION OF WORK:
STREET ADDRESS: ST S 7-7? 57- W
LOT ?_ BLOCK I _ SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: -T-AA4:F5
u„ p
Street Address• ST
?S
city: ??
? tlt?'
Street Address:
city: A
ARCHITECTI Company:
ENGINEER
Name:
Street
City:
State:
Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued. I
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. A
Signature of Applicant:
Sld?eF dF
OFFICE USE ONLY f1V P-
Certificates of Survey Received _ Yes _ No Ft AY S y???? '
B
State: M0 Zip: 567 2 ?
? t? P ne #: ? -01
QAS Licens #: ? b
f (,- L--V \ State:
Phone #: 6u ,qw
(n.)
Phone
Registration #:
Tree Preservation Plan Received Yes No
CITY USE ONLY
L 3 BL ? RECEIPT #: ?
SUBD. (,w, lQj II&I.) DATE: ?a°?M90
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 557e:2
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits, are required for each unit
FIXTURES EACH ?Q TOTAL
Shower 3.00 x =
Water Closet 3.00 x ?
Bath Tub 3.00 x =
Lavatory 3.00 x I =
Kitchen Sink 3.00 ;c
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - t 3.00 x =
Rough Openings 1.50 :< _
Water Softener 5.00 x =
Private Disposal " Dakota Cry. license 65.00
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to existing 20.00 =?• o 0
Water Turn Around 20.00 '
STATE SURCHARGE .50
TOTAL a 0 ' S O
SITE ADDRESS: '5-q5- -77
OWNER NAME
X- 74-,i K ,
INSTALLER NAME:_ SYM0 6-7)L) p?UM9
STREET ADDRESS:- S Z6 ? 901" (NI CF D3P,
CITY: r7izr+ STATE: ZIP: 553 q 3
PHONE#: ( 6parZ) ?????7gO
???
? CITY USE ONLY l
L ? BL / RECEIPT #: /
SUBD. d W?` ?""'?- lJtf-CO RECEIPT DATE:
S
1998 PLUbMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOH xD
EAGAN, D47 55122
(612) 681-4675 ,
Please wmplete for: ? single family dwellings
? townhomes and condos when permils are required for eacFi unit
? backflow preventer for underground sprinkler system
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum • t
Rough Openings
Water Softenef 'tor dwellinga under construction
Water Softener " for existing dwelling
U.G.Sprinkler "fordwellingunderconst.
U.G. Sprinkler ' for existing dwelling
Alterations " to exisling residence
Water Turn Around
Private Disposal System ' MPC iic.
(new and refurbished systams)
Private Disposal Systems' ntandonment
RPZ (new installation only)
EACH # TOTAL
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 ' X
3.00
20.00 =
20.00 =
20.00 =
75.00 =
20.00
=
20.00 =
STATE SURCHARGE .50
50
TOTAL
-•---•--- --•-----------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this appiication, state that the information is corcect, and agree to comply with all applicable Ciry ot Eagan ordinances.
It is the applicanfs responalF':'§? ?^ ^^'??'?° ^•^^°^°.^•""°""'.•`_°'.. -`Eagan assumes no liebility for any damages caused by the City during its
normal operational and m pALMER, RIC >rthis pertnitwithin Cityproperty/right-ot-wayleasement.
545 77TH STREET W EST
SITE ADDRESS: _ eaGnN, MN sstzi
(651) 688-9342
OWNER NAME: _
INSTALLER NAME: I???LC?iLONA ?LIAv'? gI?G TELEPHONE#: 87-7' 7v3,3
STREETAODRESS: 7,?_`--]?R-F???-?
CITY: Iv111 il'lCf1 POL.1 S STATE: ?Ij- ZIP: 55408.-
OF PERMITfEE
CDIPERMIT FORMS/RPLBG PERMIT (RES) • 1998
cirr use oNLv
?? eL ? RECEIPT #: /a 7y)-,5
SUBD. ?UIGIK ? ?l/I RECEIPTDATE: zl")$?06)
PERMIT # r
8000 PLUM8IN6 PEiMTT (MIDENTIAI.)
crrYoF EAsnx
S$SO PE.OT KNOS {tD
EA6AN, e!N 551 ^cE
68t-Mt-as7s
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
ceru
#
TOTAL
r?n ? un?u
Alterations to existing dwelling - minimum fee
Descri6e:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ` minimum -1 3•00 x
= $
$
Hot tubls a 3.00 x - $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x
Se tic S stem newlrefurhished • re uires MPC lic. 75.00 X -
- $
$
SB tIC S St0R1 abandonment 30.00 X = $
FjpZ new installatioNrepaidrebuild 30.00 x
Rou h o enin 1.50 x =
= $
$
Shawer 3.00 x = $
Under rounds rinkler itdwenin isunderconsWCtion 3.00 x = $
Under round s rinkler ifexisbn dwelling 30.00 x = $
Watercloset 3.00 x = $ o• 00
Water heater 3.00 x = $
W ater softener if dwelling under construction 5.00 x
Watersoftener itezisuo dwellin 30.00 x =
_ $
$
Watertumaround 30.00 x -- 50
$
State Surchar e .50 --> --> ----> .
Total § .5p
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------•--•--••-•---------------------------•-----...---...--------•----• •----•---•---••----•------------------------•---•---••----------
1 hereby acknowledge--that I have read this applipaon, state that U?e informaGon is correct, and agree tn comply with all applipble City of Eagan ardinances.
Ic is the applicanCs responsibiliry W no6fy 1ha properry owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its nortnal
ope2GOnal and maintenaoCe.a c' i fiwe o_the.[acilitieiran°t^iLl°A '^?-deLthi&ne[git within City propertyfright-of-wayJeasement.
SITE ADDRESS:
f
. pqLMER, RIC
OW NER NAME: : I 545 77TH STREET W EST
? EAGAN, MN 55127
I (651) 688-9342
INSTALLER NAME. FLul
STREET ADDRESS: ?? VENT0OLAPPUA.l
TEI.EPHONE #:
(AREA CODE)
TELEPHON54:
' (AREA CODE)
C ITY:
STAT ' i ZIP:
SIGN E OF PERMITTEE
PPP7- ? BL ? CITYUSEONLY RECEIFT#:
SUBD. _ 17Urr OAKc RECEIPT DATE:
PERMIT # q 03 I $
2000 PLUt-IDING PERMIT (RESIDENTIAL)
CITY OF EAGAN 3830 PILOT IINOB RD d
EAGAN, hIII 55122
651-681-4675
Please complete for: ? sfngle family dwellings
? townhomes and condos when pertnits are required for each unft
D backflow preventer for underground sprinkler system
FIXTURES
EACH 11 #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tu6 $ 3.00 „ x = $
Floor drain 3.00 x = $
Gas piping outlet • minimum - 1 3.00 x = $
Hot tub/spa 3.00 ? x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 ! x = $
Lavatory 3.00 x = $
Septic System . newireturmaned "requfres MPC lic. 75.00 X = $
Septic System ebandonment 30.00 x = $
RPZ new InstallatioNrepaidrebuild 30.00 x = $
Rou h openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler 'rfdwelling is under construdion 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener ff dwelling under consWCtion 5.00 x = $
Water softener H existing dwelling 30.02 x = $
Waterturnaround 30.00 x $
State Surcharge $ .50
Total -? --> --> ---? $ SO
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------•-------------------------------------- •------------------•-----------------------------------------
I hereby adcnowledge that 1 have read this application, state that the infortnetion is eorrect, and agree to comply wi[h all applipble City of Eagan orcJinances.
It is the applicenYs responsibility to noti(y the property owner that the City of Eagan assumes no liabilily for any damages caused by the City during ks
nortnal operational and maintenance aGivities to the facilities constructad under this pertnit within City property/right-of-wayleasement.
SITE ADDRESS: tMm' 1511J ? / 1? S -t ?? •
OWNER NAME: :
INSTALLER NAME:
TELEPHONE #:
(AREA CODE)
bi"i TELEPHONE,#: Gl_? Q &/
STREET ADDRE S: L L / CJV 1iv)v- -v-ra; I (AREA CODE)
CITY: \gtcv11I P 4SIGNA ZIP:
E OF P ER ITTEE
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Date:
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
1 Iz
1696a
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
-7/oI3 1 Site Address: s �s 77- S1' (�
Name: he c- f Loc; 5 Pa w.• r' Phone:
Resident!
Owner
Address/City/Zip: sus 771-1"-'51—W
Unit #:
Applicant is: Owner ✓ Contractor
Type of Work
Contractor
Description of work: 5:44,%.7 e
Construction Cost: SO 000.00
Multi -Family Building: (Yes / No(\
Company: Gto'L
Address: lot 61 3aMtj,,
Contact: ob c)
State: AAA/ Zip: S.S:MX
City: Off --ief 6 -
Phone: 76 3.02A i-4qd 3
License #: f,G6St/o ( _ Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
g l4- ftn A,CioU
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non public if you provide specific reasons that'would permit the City to
conclude that the are trade secrets,
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x
Applicanits Printed Name
x
Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145764
Date Issued:09/25/2017
Permit Category:ePermit
Site Address: 545 77th St W
Lot:3 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ric D Palmer
545 77th St W
Eagan MN 55121
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158758
Date Issued:10/30/2019
Permit Category:ePermit
Site Address: 545 77th St W
Lot:3 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ric D Palmer
545 77th St W
Eagan MN 55121
Metro Roofing & Remodeling Llc
17470 91st Place N
Maple Grove MN 55311
(612) 217-7221
Applicant/Permitee: Signature Issued By: Signature